| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,511.95 | $10,511.95 | $10,511.95 | |
Aetna
| Professional | $3.44 | $3.44 | $43.12 | |
BCBS
| Facility | $36.84 | $139.91 | $221.66 | |
BCBS
| Professional | $42.90 | $44.00 | $87.73 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Medica
| Facility | $3.44 | $3.65 | $7.28 |